ELIZABETH JACKSON
NPI 1962484766
Internal Medicine - Interventional Cardiology in Murray, UT
About Elizabeth Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH JACKSON (NPI 1962484766) is an individual interventional cardiology provider in Murray, Utah, licensed in Utah (14303386-1205) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Tufts University School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRAY, UT 84107
MURRAY, UT 84107
MURRAY, UT 84107
MURRAY, UT 84107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Jackson's NPI number?
The NPI number for Elizabeth Jackson is 1962484766. It was assigned to this individual provider in the NPPES registry on November 17, 2005.
Where is Elizabeth Jackson located?
Elizabeth Jackson practices at 5169 S Cottonwood St Ste 520, Murray, UT 84107. The listed phone number is (801) 507-3500.
What is Elizabeth Jackson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Elizabeth Jackson enrolled in Medicare?
Yes. Elizabeth Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elizabeth Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jackson reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Jackson accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Taro Health list Elizabeth Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elizabeth Jackson was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elizabeth Jackson · NPI 1962484766
Interventional Cardiology physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since November 17, 2005.
## Identity
- **NPI:** 1962484766 (Entity type: Individual)
- **Enumerated:** November 17, 2005
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 14303386-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5169 S COTTONWOOD ST STE 520, Murray, UT 84107-6756
- **Phone:** (801) 507-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Alabama Health Services Foundation, PC (NPI 1164617205, Birmingham, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962484766) · Data from the CMS NPPES public registry.